NPIRadar

Amanda K Blankenship, LMP, NCTMB Valid NPI

Individual provider · Massage Therapist · Moscow, ID

NPI
1013120435
Type
Individual (Type 1)
Primary specialty
Massage Therapist
Specialty group
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy code
225700000X
License number
MA00017159 (WA)
Sex
Female
Sole proprietor
No
Enumerated
2007-05-08
Last updated
2007-07-08
Practice location
700 S Main St, Gritman Medical Center
Moscow, ID 83843-3056
(208) 883-6544

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